IMPORTANT: Please read these directions before completing this Application, and check (a) the appropriate box below.
If you are applying for individual credit in your own name,, and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, complete only Sections A and D. If the requested credit is to be secured, also complete the first part of Section C and Section E.
If you are applying for joint credit with another person, complete all Sections Except E, providing information in B about the joint applicant. If the requested credit is to be secured, then complete Section E.
We intend to apply for joint credit:
If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another personas the basis for repayment of the credit requested, complete all sections except E to the extent possible, providing information in B about the person on whose alimony, support, or maintenance payments or income or assets you are relying. If the requested credit is to be secured, then complete Section E.
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, physical address, date of birth, taxpayer
identification number and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
We will let you know if additional information is required.